| NPI | 1558557405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9923722) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7749) |
| 104100000X Social Worker | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2023-09-29 |